Atrial fibrillation surgery is based on creating scars in the atrium, in order to
avoid re-entry phenomena that may initiate and perpetuate arrhythmia, and driving
the normal stimuli from the sinus node to the atrio-ventricular node. The
complexity and increased risk of the initial surgical technique, based on a
"cut-and-sew" procedure, have enhanced other current procedures, in which
different energies are used making it possible to perform scars in a safer and
less invasive way. At present, atrial fibrillation surgery is not performed
routinely in all cardiothoracic surgical centers, and there is no consensus in
which is the best type of technique. Even if the results are good, they depend on
multiples factors such as duration of arrhythmia, atrial size and type of
technique employed. In addition, there is some variability in the description
within the scientific community of the results and procedures used, which makes
its analysis confusing. In this paper we review the different techniques
described, the results and their application in minimally invasive surgery.